Doctor : Hi
User : HI
Doctor : How can I help you?
User : just wanted to ask to certain things
Doctor : Yes please proceed
User : myself is 28 yrs old and currently i m having itching on my both side of tongue ... can you please assist me for the same what are the reasons ???
User : as far as my medical history is concerned i m suffering from IBS
Doctor : Ok
Doctor : May I ask you few questions about you before ?
User : yes please

Doctor : What is your Age, Occupation ?
User : 28 , i m in pvt service
Doctor : Since when you have this problem of itching on tongue?
User : its is for about last 1 year
User : but domtimes it may happen sometimes i will very normal
Doctor : How long does it stay?

User : it again depends may last for a 1 to 5 day , even for a hour or merely for 10 minutesmin
Doctor : Do you have white tongue?
User : that is inconsistent
Doctor : I mean discoloration of the tongue
User : sometimes....... not very likely
User : no it not discoloration
Doctor : DO you clean your tongue with a tongue cleaner?
User : nope...... but i do not have any itching on top of my tongue it always happens at the side of tongue and that is too on the late side of tongue
User : somtimes right sometimes left

Doctor : Ok

Doctor : Do you have itching when you eat something specific?
User : no

User : it can happen anytime
Doctor : Ok
Doctor : DO you have itches on the skin too at the same time?
User : no... nothing on my skin

User : only the late sides of tongue
Doctor : Do you have any dental problem like caries tooth
User : what does caries tooth means
User : ??

User : no...
User : only and only TONGUE
User : that is only tooo on SIDE of TONGUE
Doctor : Ok
Doctor : Do you have allergies for any thing?
User : i do have allergic rhinitis and irritable bowel symdrome
User : ie allergy from dust and smoke
Doctor : Ok, Does this happen with any one else in your family?
User : no never.....
Doctor : Ok after listening to you in detail about the itchy tongue I could think of following reasons
Doctor : 1) Allergic 2) contact dermatitis of tongue 3) A hidden infection of the oral cavity
Doctor : Allery to certain foods can cause along with constant exposure to dust and smoke
Doctor : The common foods that can cause such allergic reaction are
Doctor : raw fruits and vegetables
Doctor : kiwi, peaches, apricots, apples and nuts
User : is that in any way related to irritable bowel syndrome
Doctor : It could be too I am coming to that point
Doctor : IBS might have a unknown relation to the foods that you eat
Doctor : which are not suited for your body
Doctor : Interestingly, these reactions most often happen only when the food is raw.
Doctor : Cooking usually destroys the part of the food that causes the allergic reaction.
User : but as i told you there is no time for that itching no specific causes what i had observed in last 1 year

Doctor : The most common foods that cause these reactions include shellfish, peanuts, fish and eggs
Doctor : Yes I noted that point

Doctor : Most of the times the person tries to overlook such minor foods
Doctor : that can cause these things
Doctor : So now you have to maintain a diary
Doctor : in which you should note down the foods that you have eaten before the itch
Doctor : The time of the itch
Doctor : and the duration of the itch
User : oke , i had shown this to many doctors........ but all does not consider it very seriuos , one doctor said that my papillae is responsible for that

Doctor : Sametime note down if you have gone out just before the itch
Doctor : Let us see if the allergy to smoke and dust has caused the itch
Doctor : Yes it is not serious
User : what you say about papillae on side of tongue......
Doctor : but since you are bothered about the itch I had to mention you the possible reasons
Doctor : Papillae inflame when there is unhygienic condition in the oral cavity
Doctor : I mentioned the reason of unnoticed infection
Doctor : So you may need to see a Dentist for the same
User : my papillae on the late side of tongue are look like threads....
User : like struture
Doctor : Ok
User : is that normal
Doctor : Get an Oral examination by a doctor
Doctor : That is a good idea
Doctor : Try to avoid the foods that I mentioned earlier
Doctor : see if they bring any change atleast the frequency if itch has reduced or not
User : can you please throw some light on papillae
User : my papillae on the late side of my tongue look like threads structure.

User : is they are normal......
Doctor : Actually I have to examine them to say if they are normal or not
Doctor : that too under light or microscope
User : oke .just tell what kind of abnormailites are genrally there in pappillae

Doctor : Examination should take place when you do not have itch and when you have that itch to note the difference
Doctor : The papillae on the sides of the tongue are called Foliate papillae
Doctor : There are different kinds though
Doctor : Follate papillae are elongated

User : yep , i m talking same only , they look like threads like struture

Doctor : Yes but they are normally thread like
User : just tell me one thing , where foliate papilae are suitated that place look like normal place of tongue or is something different
Doctor : Wait let me search if I can find a good image of that region
User : that will be really great for me
Doctor :

Doctor : I think these are good pictures that yu can understand
Doctor : Now you could notice that the place is something different than the normal tongue

User : ya i had seen them according to image , the place where foliate paillae is siuated is different
Doctor : Yes
User : i was just worried whether this is cancer or not????

Doctor : A very important question, Do you smoke?
User : nope , very rare one in 6 months or so , but i used to chew pan masala
Doctor : These are the major risk factors for cancer of tongue
Doctor : Smoking and chewing tobacco
User : yep that i know
Doctor : If you had left it it is good
User : its not totally stopped but nowe its very rare

Doctor : Ok
Doctor : Is there anything else that I can help you with?
Doctor : So now I wish you get an Oral examination by a Dentist
User : can you let me know any cure for my tongue....... which can help me to reilieve symptoms
User : ya definately
User : tell me one thing , for tongue i should refer to an dentist or ENT specialist
Doctor : If you have severe itch you can apply DENTOCAINE
Doctor : over the area
Doctor : It comes under perview of both of the experts
Doctor : as there are different causes
User : which one be better...................................... and best

Doctor : Now Dentish
Doctor : Dentist
Doctor : Did you follow what I said?
User : i definately....

Doctor : Please fill the feedback form say done when done.
Doctor : Thanks for consulting HealthcareMagic. Bye for now.
Doctor : Please get back to me in case of more doubts
User : thanks bye